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Resource StructureDefinition/FHIR Server from package de.basisprofil.r4#1.5.4 (63 ms)

Package de.basisprofil.r4
Type StructureDefinition
Id Id
FHIR Version R4
Source https://simplifier.net/resolve?scope=de.basisprofil.r4@1.5.4&canonical=http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Url http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit
Version 1.5.4
Status active
Date 2025-06-16
Name ExtensionICD10GMDiagnosesicherheit
Title Extension zur Erfassung der Diagnosesicherheit gemäß KBV-Kodierrichtlinien
Experimental False
Authority hl7
Copyright HL7 Deutschland e.V.
Type Extension
Kind complex-type

Resources that use this resource

StructureDefinition
https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_NFD_Condition KBV_PR_MIO_NFD_Condition
https://fhir.kbv.de/StructureDefinition/KBV_PR_Base_Diagnosis KBV_PR_Base_Diagnosis
http://fhir.de/StructureDefinition/CodingICD10GM Coding-Profil für ICD-10-GM
http://fhir.de/onkologie/StructureDefinition/KrebsDiagnose Krebsdiagnose
https://fhir.gevko.de/StructureDefinition/PR_OSC_ICD10 PR_OSC_ICD10

Resources that this resource uses

ValueSet
https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT


Source

{
  "resourceType" : "StructureDefinition",
  "id" : "icd-10-gm-diagnosesicherheit",
  "url" : "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit",
  "version" : "1.5.4",
  "name" : "ExtensionICD10GMDiagnosesicherheit",
  "title" : "Extension zur Erfassung der Diagnosesicherheit gemäß KBV-Kodierrichtlinien",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-06-16",
  "publisher" : "HL7 Deutschland e.V. (Technisches Komitee FHIR)",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.de/technische-komitees/fhir/"
        }
      ]
    }
  ],
  "copyright" : "HL7 Deutschland e.V.",
  "fhirVersion" : "4.0.1",
  "kind" : "complex-type",
  "abstract" : false,
  "context" : [
    {
      "type" : "element",
      "expression" : "Condition.code.coding"
    }
  ],
  "type" : "Extension",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation" : "constraint",
  "snapshot" : {
    "element" : [
      {
        "id" : "Extension",
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode" : "normative"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode" : "4.0.0"
          }
        ],
        "path" : "Extension",
        "short" : "Optional Extensions Element",
        "definition" : "Optional Extension Element - found in all resources.",
        "min" : 0,
        "max" : "*",
        "base" : {
          "path" : "Extension",
          "min" : 0,
          "max" : "*"
        },
        "condition" : [
          "ele-1"
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"
          }
        ],
        "isModifier" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          },
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Extension.id",
        "path" : "Extension.id",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "Unique id for inter-element referencing",
        "definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min" : 0,
        "max" : "1",
        "base" : {
          "path" : "Element.id",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "string"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Extension.extension",
        "path" : "Extension.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "description" : "Extensions are always sliced by (at least) url",
          "rules" : "open"
        },
        "short" : "Additional content defined by implementations",
        "definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias" : [
          "extensions",
          "user content"
        ],
        "min" : 0,
        "max" : "0",
        "base" : {
          "path" : "Element.extension",
          "min" : 0,
          "max" : "*"
        },
        "type" : [
          {
            "code" : "Extension"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "ext-1",
            "severity" : "error",
            "human" : "Must have either extensions or value[x], not both",
            "expression" : "extension.exists() != value.exists()",
            "xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source" : "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "n/a"
          }
        ]
      },
      {
        "id" : "Extension.url",
        "path" : "Extension.url",
        "representation" : [
          "xmlAttr"
        ],
        "short" : "identifies the meaning of the extension",
        "definition" : "Source of the definition for the extension code - a logical name or a URL.",
        "comment" : "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Extension.url",
          "min" : 1,
          "max" : "1"
        },
        "type" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl" : "uri"
              }
            ],
            "code" : "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri" : "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit",
        "isModifier" : false,
        "isSummary" : false,
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      },
      {
        "id" : "Extension.value[x]",
        "path" : "Extension.value[x]",
        "short" : "Value of extension",
        "definition" : "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
        "min" : 1,
        "max" : "1",
        "base" : {
          "path" : "Extension.value[x]",
          "min" : 0,
          "max" : "1"
        },
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "ele-1",
            "severity" : "error",
            "human" : "All FHIR elements must have a @value or children",
            "expression" : "hasValue() or (children().count() > id.count())",
            "xpath" : "@value|f:*|h:div",
            "source" : "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key" : "icd-4",
            "severity" : "warning",
            "human" : "Wenn die Diagnosesicherheit \"A (Ausschluss)\" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf \"refuted\" gesetzt werden.",
            "expression" : "code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())",
            "source" : "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
          },
          {
            "key" : "icd-5",
            "severity" : "warning",
            "human" : "Wenn die Diagnosesicherheit \"G (Gesichert)\" verwendet wird, dann muss clinicalStatus auf \"active\" und verificationStatus auf \"confirmed\" gesetzt werden.",
            "expression" : "code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())",
            "source" : "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
          },
          {
            "key" : "icd-6",
            "severity" : "warning",
            "human" : "Wenn die Diagnosesicherheit \"V (Verdacht auf)\" verwendet wird, dann muss clinicalStatus auf \"active\" und verificationStatus auf \"provisional\" oder \"differential\" gesetzt werden.",
            "expression" : "code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))",
            "source" : "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
          },
          {
            "key" : "icd-7",
            "severity" : "warning",
            "human" : "Wenn die Diagnosesicherheit \"Z (Zustand nach)\" verwendet wird, dann muss clinicalStatus auf \"resolved\" und verificationStatus auf \"confirmed\" gesetzt werden.",
            "expression" : "code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())",
            "source" : "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
          }
        ],
        "isModifier" : false,
        "isSummary" : false,
        "binding" : {
          "strength" : "required",
          "valueSet" : "https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT"
        },
        "mapping" : [
          {
            "identity" : "rim",
            "map" : "N/A"
          }
        ]
      }
    ]
  },
  "differential" : {
    "element" : [
      {
        "id" : "Extension.extension",
        "path" : "Extension.extension",
        "max" : "0"
      },
      {
        "id" : "Extension.url",
        "path" : "Extension.url",
        "fixedUri" : "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
      },
      {
        "id" : "Extension.value[x]",
        "path" : "Extension.value[x]",
        "min" : 1,
        "type" : [
          {
            "code" : "Coding"
          }
        ],
        "constraint" : [
          {
            "key" : "icd-4",
            "severity" : "warning",
            "human" : "Wenn die Diagnosesicherheit \"A (Ausschluss)\" verwendet wird, dann muss clinicalStatus leer bleiben und verificationStaus auf \"refuted\" gesetzt werden.",
            "expression" : "code!='A' or (%resource.verificationStatus.coding.where(code='refuted').exists() and %resource.clinicalStatus.empty())",
            "source" : "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
          },
          {
            "key" : "icd-5",
            "severity" : "warning",
            "human" : "Wenn die Diagnosesicherheit \"G (Gesichert)\" verwendet wird, dann muss clinicalStatus auf \"active\" und verificationStatus auf \"confirmed\" gesetzt werden.",
            "expression" : "code!='G' or (%resource.clinicalStatus.coding.where(code='active').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())",
            "source" : "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
          },
          {
            "key" : "icd-6",
            "severity" : "warning",
            "human" : "Wenn die Diagnosesicherheit \"V (Verdacht auf)\" verwendet wird, dann muss clinicalStatus auf \"active\" und verificationStatus auf \"provisional\" oder \"differential\" gesetzt werden.",
            "expression" : "code!='V' or (%resource.clinicalStatus.coding.where(code='active').exists() and (%resource.verificationStatus.coding.where(code='provisional').exists() or %resource.verificationStatus.coding.where(code='differential').exists()))",
            "source" : "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
          },
          {
            "key" : "icd-7",
            "severity" : "warning",
            "human" : "Wenn die Diagnosesicherheit \"Z (Zustand nach)\" verwendet wird, dann muss clinicalStatus auf \"resolved\" und verificationStatus auf \"confirmed\" gesetzt werden.",
            "expression" : "code!='Z' or (%resource.clinicalStatus.coding.where(code='resolved').exists() and %resource.verificationStatus.coding.where(code='confirmed').exists())",
            "source" : "http://fhir.de/StructureDefinition/icd-10-gm-diagnosesicherheit"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "https://fhir.kbv.de/ValueSet/KBV_VS_SFHIR_ICD_DIAGNOSESICHERHEIT"
        }
      }
    ]
  },
  "text" : {
  }
}

XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.